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Background <p>Scarce evidence is available in how clinicians process the management of high-risk individuals in real-world scenarios. The purpose of the present study is to discern the degree to which graduates apply explicit risk analysis skillsets in practice over time, and how graduates prioritize risk factors for caries and periodontitis.</p> Methods <p>The importance of risk factors for caries and periodontitis and management of low/high risk private practice patients were surveyed among dental graduates within the last ten years. Surveys were sent from August 2025 through October 2025. Data patterns were observed with statistics as support.</p> Results <p>A total of 73 surveys were obtained. For 75% of respondents, risk level influenced treatment planning. For caries-affected patients, respondents ranked risk from highest to lowest with all being considered worthy: oral hygiene, current disease level, patient compliance, sugared beverages, xerostomia, prognosis, no treatment/monitor conditions for up to 5 years, dental literacy, fluoride exposure, social barriers, and general health. For periodontitis, respondents’ rankings were similar with smoking and diabetes also ranking high. Most respondents (71%) stated that they adapted ideas from dental school to practice and were more likely to score low risk patients with a more optimistic prognosis than high risk patients.</p> Conclusions <p>Dental graduates take risk factors into account in making patient decisions in practice. Similarities in the thought process was noted in determining risk for caries- and periodontitis-affected patients. Oral hygiene, current disease level, and patient compliance are risk factors with consistent high ratings for both caries and periodontitis, indicating the importance of engaging the patient to improve health.</p>

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Dental school caries and periodontitis risk analysis skillset: survey of carryover to practice

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年7月1日

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  • David C. Johnsen,
  • Carlos Garaicoa-Pazmino,
  • Aditi Jain,
  • Leonardo Marchini,
  • Kim Vo,
  • Sara Miller,
  • Jack Rossi,
  • Wei Shi,
  • Derek Smith

摘要

Background

Scarce evidence is available in how clinicians process the management of high-risk individuals in real-world scenarios. The purpose of the present study is to discern the degree to which graduates apply explicit risk analysis skillsets in practice over time, and how graduates prioritize risk factors for caries and periodontitis.

Methods

The importance of risk factors for caries and periodontitis and management of low/high risk private practice patients were surveyed among dental graduates within the last ten years. Surveys were sent from August 2025 through October 2025. Data patterns were observed with statistics as support.

Results

A total of 73 surveys were obtained. For 75% of respondents, risk level influenced treatment planning. For caries-affected patients, respondents ranked risk from highest to lowest with all being considered worthy: oral hygiene, current disease level, patient compliance, sugared beverages, xerostomia, prognosis, no treatment/monitor conditions for up to 5 years, dental literacy, fluoride exposure, social barriers, and general health. For periodontitis, respondents’ rankings were similar with smoking and diabetes also ranking high. Most respondents (71%) stated that they adapted ideas from dental school to practice and were more likely to score low risk patients with a more optimistic prognosis than high risk patients.

Conclusions

Dental graduates take risk factors into account in making patient decisions in practice. Similarities in the thought process was noted in determining risk for caries- and periodontitis-affected patients. Oral hygiene, current disease level, and patient compliance are risk factors with consistent high ratings for both caries and periodontitis, indicating the importance of engaging the patient to improve health.